Individual provider Active NPI

James Thomas Griscom III, MD

  • Surgery Physician
  • Nashville, TN
National Provider Identifier
1760989131
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
71267 Issued in TN
Practice address
410 42ND Ave N Ste 400
Nashville, TN 37209-3658
Phone
(615) 329-7887
Fax
(615) 340-4537
NPI assigned
Apr 11, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 71267 TN Primary

Addresses

Primary practice location

410 42ND Ave N Ste 400
Nashville, TN 37209-3658

Mailing address

410 42ND Ave N Ste 400
Nashville, TN 37209-3658
Phone (615) 329-7887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240617002866 TN Practitioner - General Surgery 9335498534 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of South Carolina School of Medicine, Greenville, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tennessee Oncology PLLCGroup PAC ID 4688586134, 355 clinicians

Practice addresses (Care Compare)

1750 Cedar LN
Suite 200
Tullahoma, TN 37388-4761
Phone (615) 333-2481

2011 Church St
Medical Plaza 1 Lower Level
Nashville, TN 37236-0001
Phone (615) 284-7785

410 42ND Ave N
Suite 400
Nashville, TN 37209-3658
Phone (615) 329-7887

660 S Mount Juliet Rd
Suite 230
Mt Juliet, TN 37122-3923
Phone (615) 874-9667

Hospital & facility affiliations

  • Tristar Centennial Medical Center Hospital, Nashville, TN, CCN 440161
  • Ascension Saint Thomas Hospital Hospital, Nashville, TN, CCN 440082

Merit-based Incentive Payment System (MIPS)

Final score
85.69 of 100Reported as group
Quality
70.45
Promoting interoperability
100
Improvement activities
40
Cost
73.38

Merit-based Incentive Payment System (MIPS)

Final score
88.35 of 100Reported as group
Quality
80.15
Promoting interoperability
100
Improvement activities
40
Cost
76.19

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)11
Hernia repair (minimally invasive)23
Upper gastrointestinal (GI) endoscopy for acid reflux24
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
71267TNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Surgical Clinic PLLC Surgery CurrentSince Aug 1, 2024 Accepting new patients
Tennessee Oncology PLLC Surgery CurrentSince Dec 1, 2024 Accepting new patients

Locations

410 42nd Ave N
Ste 400
Nashville, TN 37209
Phone (615) 292-5722

4535 Harding Pike
Ste 304
Nashville, TN 37205
Phone (615) 269-9007

356 24th Ave N
Ste 300
Nashville, TN 37203
Phone (615) 301-5264

4220 Harding Pike
Nashville, TN 37205
Phone (615) 222-2111

410 42nd Ave N
Ste 300
Nashville, TN 37209
Phone (615) 321-6161

1750 Cedar Ln
Ste 200
Tullahoma, TN 37388
Phone (615) 333-2481

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIJFBA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1760989131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 42ND AVE N STE 400",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372093658",
            "telephone_number": "615-329-7887",
            "fax_number": "615-340-4537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 42ND AVE N STE 400",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372093658",
            "telephone_number": "615-329-7887",
            "fax_number": "615-340-4537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISCOM",
        "first_name": "JAMES",
        "middle_name": "THOMAS",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-11",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "71267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.